The CounselingBlock

Request Consulting Support

Tell us a little about your student and what you're navigating. We'll respond within two business days with next steps and scheduling options.

A quick note on your student's privacy

This form sends your message through your own email app. To keep your student safe, please do not include personally identifying details in your message. We'll gather any specifics securely after we connect.

Safe to share

  • Grade level or age range
  • General concerns (e.g., "9th grader, IEP, anxiety")
  • Type of support you're seeking

Please leave out

  • Student's full name
  • School or district name
  • Date of birth, address, ID numbers

Fields marked with are required.

e.g., '9th grade' or 'age 14' — no full names, please.

Timeline

Please describe the situation generally — skip names, schools, and ID numbers.

We respect your privacy. Your information is only used to respond to your request.